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The Caldwell-Luc procedure in 1991
1Department of Otolaryngology, Columbia-Presbyterian Medical Center, New York, NY 10032.
Summary
The Caldwell-Luc procedure, historically used for sinus infections, remains valuable for specific complex maxillofacial surgeries. Its optimal exposure is crucial for conditions like Grave's ophthalmopathy and benign tumors.
Area of Science:
- Otolaryngology
- Maxillofacial Surgery
- Surgical Innovation
Background:
- The Caldwell-Luc procedure was developed in the pre-antibiotic era for maxillary sinus infections.
- Advancements in antibiotics and endoscopic surgery have altered traditional indications for this procedure.
Purpose of the Study:
- To review the evolving role and current indications of the Caldwell-Luc procedure in maxillofacial surgery.
- To highlight the continued relevance of the Caldwell-Luc procedure for specific complex surgical scenarios.
Main Methods:
- Historical review of surgical techniques.
- Analysis of current surgical indications and outcomes.
- Comparison with endoscopic surgical approaches.
Main Results:
- The Caldwell-Luc procedure's indications have shifted due to medical advancements.
- It remains optimal for Grave's ophthalmopathy decompression, pterygomaxillary surgery, trauma, foreign body removal, fistulae repair, osteomyelitis, benign tumors, and managing mucosal disease or endoscopic failures.
Conclusions:
- Despite changes, the Caldwell-Luc procedure retains essential applications in specialized maxillofacial surgery.
- Its anatomical exposure is irreplaceable for certain complex pathologies and treatment failures.